Individual
DR. DANA LYNN WYMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3560 N BUFFALO ST, ORCHARD PARK, NY 14127-1934
(716) 662-8510
(716) 662-8574
Mailing address
3560 N BUFFALO ST, ORCHARD PARK, NY 14127-1934
(716) 662-8510
(716) 662-8574
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
250108
NY
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
250108
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000532405001
BLUE CROSS WNY
NY
Enumeration date
07/31/2008
Last updated
07/12/2010
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